Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,290.87 / $4,365.16	Facility		$204.17	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $398.11	Professional		$177.83	$204.17	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $588.84	Professional		$354.81	$478.63	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $489.78	Facility		$245.47	$331.13	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $8,128.31	Professional		$165.96	$316.23	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $436.52	Professional		$389.05	$426.58	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $416.87	Professional		$389.05	$389.05	$416.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $389.05	Professional		$190.55	$316.23	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $524.81	Professional		$204.17	$346.74	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $478.63	Professional		$389.05	$457.09	$478.63